Medical-Surgical/Telemetry Float RN
Seattle, Washington
Harborview Medical Center

Registered Nurse – MS/Tele Float (Travel/Contract)

Location: Seattle, Washington
Duration: 26 weeks
Shift: Day shift, 3 shifts per week, 12 hours each (7:00 AM – 7:30 PM)
Hours per week: 36 hours

Job Description

• Float nurse position covering Medical-Surgical and Telemetry units.
• Must be proficient in interpretation and management of dysrhythmias.
• High volume of peripheral nerve catheters on orthopedic floors.
• Float within scope to meet facility needs.
• Split 12-hour shifts into 8 hours in one area and 4 hours in another; requires strong time management skills.
• Patient ratios typically 1:4-5.
• Facility requires working 2 major holidays; only 1 major holiday off allowed (no Christmas off).
• Weekend work required every other weekend; flexibility requested.
• Facility uses Epic for charting (mandatory).
• Scrub color: any solid color; light blue scrubs provided on unit.
• Locals accepted; pending licenses accepted.

Required Qualifications

• Valid Registered Nurse (RN) license in Washington State.
• Minimum of 2 years of telemetry nursing experience, with telemetry experience within the last year.
• At least one completed travel nursing assignment.
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN).
• Current ACLS certification.
• Current BLS certification issued by the American Heart Association.
• NIH Stroke Scale (NIHSS) certification.
• Proficient in interpretation and management of dysrhythmias.
• Experience with high volume of peripheral nerve catheters.
• Orthopedics nursing experience.
• Stroke patient care experience.

Background and Screening Requirements

• 7-year criminal background check including nationwide, sex offender, and state-specific searches.
• Education verification required.
• National and state-level exclusions and sanctions checks (OIG, SAM).
• WA WATCH search required.
• Drug screening within past 12 months (instant acceptable).
• Two professional references required.
• Photo for badge (professional, waist-up, clear lighting, no hats).

Health and Immunization Requirements

• Physical exam within 1 year (not required by facility but required by agency).
• Mask fit test within 12 months (specific mask models required).
• Tdap vaccine within 10 years or declination on file.
• Negative TB test (Qgold, Tspot, or 2-step PPD within 90 days) or chest X-ray if positive TB history.
• Annual TB questionnaire required.
• Immunizations or titers required for:

  • Rubeola (Measles)
  • Mumps
  • Rubella
  • Varicella
  • Hepatitis B (titer or declination; vaccine series plus confirmatory titer required)
• Seasonal flu vaccine or declination required during flu season (Sept 29 – Mar 31).
• COVID vaccination or declination required for tracking.
• Suicide prevention training required for multi-state licensed nurses working in WA (6-hour course).

Facility and Orientation Notes

• Magnet, teaching, Level I trauma facility.
• Acute care float pool covers acute care, telemetry, behavioral health, and respite units.
• Orientation includes pass/fail testing; failure results in cancellation.
• No block scheduling accommodations.
• Parking available onsite and offsite (fees apply).
• Multiple facility-specific documents and acknowledgments required (e.g., job description, equipment safety, policies, license acknowledgment).

Additional Information

• Manager prefers to avoid travel pairs.
• Candidates must complete all fingerprinting and licensing requirements timely to maintain active status.
• Candidates must complete required facility-specific forms and acknowledgments prior to or at orientation.
• Candidates should be prepared for a fill-in-the-blank tele test at orientation.
• Candidates must be flexible and able to work all scheduled shifts; no exceptions for scheduling requests outside approved time off.

This position is ideal for experienced RNs with strong telemetry and medical-surgical float skills, comfortable with high-acuity patients and complex cardiac monitoring.